162294 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 137010 Page 1 of 1
ONE CIVIC SQUARE REBECCA CHIKE
CARMEL, INDIANA 46032 649 COLLEGE WAY CHECK AMOUNT: $53.07
oe CARMEL IN 46032 CHECK NUMBER: 162294
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT P O NUMB INVOIC NUMBER AMOUNT DESCRIPTION
1202 4343002 53.07 EXTERNAL TRAINING TRA
I
I
I
GENERA
PRESCRIBED BY STATE BOARD OF ACCOUNTS L FORM NO. 101 (1985)
MILEAGE CLAIM
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO READ NG T +R AUTO MILEAGE
19' M
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED PER MILE a
ED S 3 D d 7,t)
b U- It �'c we 3 "k) l
a J J A4- 1
f'
g d 4 f
P I
AUTO LICENSE NO.
TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map_
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregojr�g accoun is just and correct, that the amount claimed is legally ue, after allowing all just credits
and that no part of the same has been paid.
Date &T�
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon sta tutory authority.
That it is apparently correct
incorrect
Disbursing Officer
On Account of Appropriation No. for o tr a
o n
n CD
N P
P 0
Allowed I9_ M a 4
in the sum of co (D
ti
cD
CD CD
N 'y
O
(D
m
a a
a a. a
n
(Board or Commission) O
w co
a
n p„
FILED a
kr`
rA cD
w lD
N
(Official Title) 0 0
O'
M
A.E. BOYCE CO., DIC. MUNCIE, IN 01136 n
i
1
Prescribed b�State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Rebecca Chike Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER 0€ 04 OB WARRANT NO.
ALLOWED 20
W IN SUM OF
$53.07
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Informatin Systems
Board Members
DEPT. r INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
9202 430-02 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
$igna re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund